Individual
BOBBY C PANKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
115 CYNTHIA ST, CLINTON, MS 39056-3711
(601) 924-4444
(601) 924-4100
Mailing address
115 CYNTHIA ST, CLINTON, MS 39056-3711
(601) 924-4444
(601) 924-4100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
V07073
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03156827
—
MS
Enumeration date
05/20/2006
Last updated
07/17/2020
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